# METROWEST DENTAL CARE ,CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ORTHOIMPLANT DENTAL CLINIC FAMILY DENTISTRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467032524
- **Authorized official:** DR. LUZ AIDA OSPINA DDS (OWNER)
- **Authorized official phone:** (208) 312-0190

## Contact information

- **Practice address:** 1507 S HIAWASSEE RD STE 209, ORLANDO, FL 32835-5719
- **Practice address phone:** (407) 286-4750
- **Practice address fax:** (407) 286-4732
- **Mailing address:** 1507 S HIAWASSEE RD STE 209, ORLANDO, FL 32835-5719
- **Mailing address phone:** (407) 286-4750
- **Mailing address fax:** (407) 286-4703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2021
- **Last updated:** 07/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 23632 | DENTAL LICENSE | FL |